NPI 1639255763

Lincoln Medical and Mental Health Center

Organisation Clinical Medical Laboratory Bronx, NY

Practice location

Address: 234 E 149th St, Bronx, NY 10451-5504
Phone: (718) 579-5848
Fax: (718) 579-4824
Mailing address: 135 Montgomery St 12g, Jersey City, NJ 07302-3633

Authorised official

Name: Wilfredo Santos
Title: Associate Director Pathology
Phone: (718) 579-5848

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence S04907830001492 (NY)

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Registry record

NPI: 1639255763
Entity type: Organization
NPI issued: 31 Oct 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.